| Mrs Tracey Nicholson Laureles, PT | |
|
4251 Legion Road, Hope Mills, NC 28348-1937 | |
| (910) 429-0600 | |
| (910) 429-0602 |
| Full Name | Mrs Tracey Nicholson Laureles |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 33 Years |
| Location | 4251 Legion Road, Hope Mills, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134161599 | NPI | - | NPPES |
| 62594 | Other | NC | BCBS PROVIDER ID |
| 5752 | Other | NC | PT LICENSE |
| 7200114 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5752 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benchmark Healthcare Services Llc | 3779726468 | 116 |
| Provider Name | Benchmark Healthcare Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1811213341 PECOS PAC ID: 3779726468 Enrollment ID: O20130828000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracey Nicholson Laureles, PT 1613 Walnut St, Cary, NC 27511-5928 Ph: (919) 535-8758 | Mrs Tracey Nicholson Laureles, PT 4251 Legion Road, Hope Mills, NC 28348-1937 Ph: (910) 429-0600 |
Valerie Dean Stein, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 | |
Mary Ezzeddine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602 | |
Erika Denise Wright, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 | |
Mikayla Deborah King, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4251 Legion Rd, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602 | |
Crystal S Bolanos-maldonado, MS PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3910 Goforth Dr, Hope Mills, NC 28348 Phone: 336-324-8741 | |
Stephen Thomas Brien, PT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 4251 Legion Rd Ste 107, Hope Mills, NC 28348 Phone: 910-429-0600 Fax: 910-429-0602 |